Active NPI
CH MSSP Services la LLC
- Internal Medicine Physician
- Sulphur, LA
National Provider Identifier
1982285060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CH MSSP SERVICES LA LLC
- Practice address
- 100 Kingston Rd
Sulphur, LA 70663-4016 - Phone
- (337) 408-0797
- NPI assigned
- Apr 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nicole Howard
- Title
- SVP of Administrative Services
- Phone
- (337) 408-0797
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
100 Kingston Rd
Sulphur, LA 70663-4016
Mailing address
5750 Johnston St Ste 205
Lafayette, LA 70503-5334
Phone (337) 408-0797
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210621000338 | LA | Part B Supplier - Clinic/Group Practice | 6901206416 |
Receives reassigned benefits from 170 practitioners Practice locations: Bossier City, LA; Sulphur, LA; Shreveport, LA; New Orleans, LA; Monroe, LA; Mandeville, LA; Lake Charles, LA; Lafayette, LA… |
National Provider Directory
National Provider DirectoryLocations
4380 Old Sterlington Rd
Monroe, LA 71203
Phone (318) 343-1626
600 E Flournoy Lucas Rd
Shreveport, LA 71115
Phone (318) 212-2000
Practitioners & affiliated clinicians
Practitioners 171
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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- Shreveport, LA
- NPI 1770126344
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- Psychiatric/Mental Health Nurse Practitioner
- Shreveport, LA
- NPI 1366003733
LA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1618876800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742515200000",
"number": "1982285060",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5750 JOHNSTON ST STE 205",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705035334",
"telephone_number": "337-408-0797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 KINGSTON RD",
"city": "SULPHUR",
"state": "LA",
"postal_code": "706634016",
"telephone_number": "337-408-0797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CH MSSP SERVICES LA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-04-20",
"last_updated": "2025-03-21",
"certification_date": "2025-03-21",
"status": "A",
"authorized_official_last_name": "HOWARD",
"authorized_official_first_name": "NICOLE",
"authorized_official_title_or_position": "SVP OF ADMINISTRATIVE SERVICES",
"authorized_official_telephone_number": "337-408-0797"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sulphur, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.